The relationship between living arrangements and depression among older adults in Shandong, China: The mediating role of social support

Pei, Zhongfei; Hu, Fangfang; Qin, Wenzhe; Zhao, Yan; Zhang, Xiaohong; Cong, Xinxia; Liu, Chuanli; Xu, Lingzhong

doi:10.3389/fpsyt.2022.896938

Cited by 11 publications

(4 citation statements)

References 49 publications

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“…All evidence suggests that living with family members is a protective factor for the occurrence of depression in older adults.In addition, our study found that older people living in nursing homes have a higher risk of depression compared to those living alone. Previous scholarship suggests that living with others is more likely to result in better social support than living alone, thus reducing the risk of depression in older adults [4]. The reasons for this contradictory result remain unclear and need to be explored in further studies.We also found no correlation between LA and anxiety in older adults, with some studies reporting signi cant differences in anxiety, depression in LA, and a nonsigni cant effect of LA on anxiety in the nal model corrected for covariates [40].…”

Section: Discussionmentioning

confidence: 94%

“…As one of the countries with the most serious aging population, China is characterized by large number, fast speed, large differences and heavy tasks [2].In 2021, the country's order population aged 60 and above is excepted to reach 264 million, accounting for 18.7% of the total population [3]. Compared with 2010, the proportion of the older population aged 60 and above in the total population in China increases by 5.44 percentage points in 2020 [4,5]. How to better promote healthy aging is an important issue that needs to be urgently addressed worldwide at present.…”

Section: Introductionmentioning

confidence: 99%

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The effects of living arrangements on dietary diversity and depression among Chinese older adults

Xian

Rong

et al. 2023

Preprint

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Background There is growing evidence that addressing the health problems associated with population aging is imminent. We aimed to explore the effects of living arrangements on dietary diversity and mental health from an older Chinese population and to examine the mediating role of dietary diversity to provide a theoretical basis for how to better promote healthy aging. Methods Using data from the seventh Chinese Longitudinal Healthy Longevity Survey (CLHLS) and including relevant basic demographic characteristics variables as control variables, this study used logistic regression to investigate the relationship between living arrangements of older adults on dietary diversity, depression and anxiety, and used the PROCESS procedure to test for mediating effects. Results Older adults living with their families and those living in nursing homes had higher dietary diversity scores compared to those living alone. Older adults living in nursing homes were more likely to acquire depression than those living alone, and those living with family members were at lower risk of depression. There was no significant effect of living arrangement of older adults on anxiety. The mediating effect of dietary diversity between living arrangement and depression was significant. Conclusion Living arrangements directly affect older people's dietary diversity and depression, and dietary diversity mediates the relationship between living arrangements and depression. Our findings can contribute to current theory and knowledge and provide insights into social policy, elderly services, and social work interventions for the older adults in China.

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Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

The effects of living arrangements on dietary diversity and depression among Chinese older adults

Xian

Rong

et al. 2023

Preprint

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“…Along with previous studies, the current study also indicates that there is an increasing trend of depressive symptoms among the elderly with increasing age, irrespective of gender (29)(30)(31). The relationship between living arrangements-such as living alone, with a spouse, or with children-and depressive symptoms (32,33). Elderly individuals who reside with their spouses and children exhibit a lower likelihood of experiencing depression compared to those living alone (34).…”

Section: Decomposition Of the Migrant-non-migrant Gap In Depressionmentioning

confidence: 99%

Rural-Urban Migration and Mental Health: A Study on India's Elderly Population

Paul,

Mandal

2024

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Background In recent years, India has witnessed a significant rise in rural-to-urban migration among its elderly population, posing distinct challenges, particularly concerning later-life health outcomes. Present study aims to examine the association between rural-urban migration in later life and mental health among elderly individuals currently residing in urban area. Method Using data from the Longitudinal Ageing Study (LASI) 2017-18 of India present study (n = 4529) applied bivariate analysis, logistic regression. Factors associated with depression is determine by logistic regression. However, Fairlie decomposition employed to show differences between depression between the rural-urban migrant elderly and non-migrant elderly populations. Results The findings reveal around a 22 percent of the study's participants, especially females [OR: 1.62, CI: 1.06–2.48] and wealthy people are migrated from rural to urban areas and continuously residing in urban areas since last ten years. Further, the study examines that migrating from rural to urban areas after the age of 50 and adapting to the new urban environment are linked with a higher likelihood of depression [OR:1.68, CI 0.93–2.17] among the elderly compared to their urban-native. Additionally, socio-demographic factors such as higher education and greater wealth significantly influence depressive symptoms. Notably, elderly individuals who co-reside with their spouse and children [OR: 0.62, CI: 0.34–1.13] tend to experience lower levels of depression, although this is intricately tied to decisions regarding their current place of residence. Conclusion Disparities in depression levels among elderly are accelerated by factors such as lower education, low wealth, living arrangements, and decisions regarding current residence when it collides with migration status. Consequently, there is a pressing need for governmental intervention aimed at bolstering economic security and establishing robust social support systems to bolster the mental well-being of India's elderly population.

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“…on depression must be confirmed by further research. Second, living arrangements may have influenced depression among the older population [42]. Unlike older people in developed countries who spend their later lives living with no adult children or in long-term care facilities [43], the majority of Vietnamese older adults are cared for by their offspring in houses where many generations live together [44].…”

Section: Plos Onementioning

confidence: 99%

COVID-19 infection and decline in outdoor activities associated with depression in older adults: A multicenter study in Vietnam

Nguyen

et al. 2023

PLoS ONE

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Background The coronavirus disease (COVID-19) pandemic has caused a serious global communicable disease burden. Although COVID-19 and its policy responses have significantly influenced older adults, the impact of COVID-19 on depression in the older population is not fully understood. We aimed to investigate whether a history of COVID-19 infection and a decline in outdoor activities during the COVID-19 pandemic were associated with depression among older adults in Vietnam. Methods This multicenter cross-sectional study was conducted on 1,004 outpatients (aged ≥60 years; mean age 70.8 ± 7.3 years; men, 33.0%) visiting three hospitals for a comprehensive geriatric assessment between November 2021 and July 2022. Depression over the past week was evaluated using the 15-item Geriatric Depression Scale. History of COVID-19 infection and decline in outdoor activities were included as binary variables. We adjusted these two factors with sociodemographic and geriatric variables and comorbidities using a logistic regression analysis in separate models. Results A total of 156 participants (15.5%) experienced depression. The proportion of mild, moderate, and severe depressive symptoms was 14.1%, 44.9%, and 41.0%, respectively. In the multivariate model, decline in outdoor activities (odds ratio [OR] 17.2, 95% confidence interval [CI] 9.15–32.2, p <0.001) and history of COVID-19 infection (OR 2.22, 95% CI 1.28–3.84, p = 0.004) were associated with depression. Additionally, we found that age ≥ 75 years, female sex, being underweight, limitations in functional status, poor sleep quality, and stroke were associated with depression. Of the associated factors, decline in outdoor activities had a moderate strength of association with depression (r = 0.419), while each of the remaining factors had a weak strength of association. Conclusions COVID-19 had a direct and indirect impact on depression in older adults, reflecting an association between both a history of COVID-19 infection and a decline in outdoor activities during the COVID-19 pandemic and depression in the older population.

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The relationship between living arrangements and depression among older adults in Shandong, China: The mediating role of social support

Cited by 11 publications

References 49 publications

The effects of living arrangements on dietary diversity and depression among Chinese older adults

The effects of living arrangements on dietary diversity and depression among Chinese older adults

Rural-Urban Migration and Mental Health: A Study on India's Elderly Population

COVID-19 infection and decline in outdoor activities associated with depression in older adults: A multicenter study in Vietnam

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